Therapists in Cincinnati, OH

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Photo of Gene Johnson, Clinical Social Work/Therapist, LISW-S
Gene Johnson
Clinical Social Work/Therapist, LISW-S
Cincinnati, OH 45227
Have you ever faced grief/ bereavement, addiction, emotional dysregulation, distress intolerance and relationship discord? I espouse helping all, to be in relationships that promote positive connection, safety and mutual success! Let’s work together to create health and wellbeing through maintaining a heart - body connection in the balance of work, life, and relationships.
Have you ever faced grief/ bereavement, addiction, emotional dysregulation, distress intolerance and relationship discord? I espouse helping all, to be in relationships that promote positive connection, safety and mutual success! Let’s work together to create health and wellbeing through maintaining a heart - body connection in the balance of work, life, and relationships.
(513) 676-4849 View (513) 676-4849
Photo of Dr. Ntatu Nomandla North - Purposed Journey Counseling LLC, Marriage & Family Therapist, DMin, MS, IMFT-S
Purposed Journey Counseling LLC
Marriage & Family Therapist, DMin, MS, IMFT-S
2 Endorsed
Cincinnati, OH 45215
Engaging in therapy services and being willing to work through the process is an important aspect of the journey. We enjoy working with clients who are struggling with anxiety, depression, and who have experienced trauma. Their needs include identifying and addressing their triggers, in order to develop the necessary skills to be able to process through their responses to trauma. Their goals include reducing their symptoms and learning how to manage their symptoms more effectively. They learn that each step on the journey builds endurance that increases our strength and resilience so that they build our capacity to persist.
Engaging in therapy services and being willing to work through the process is an important aspect of the journey. We enjoy working with clients who are struggling with anxiety, depression, and who have experienced trauma. Their needs include identifying and addressing their triggers, in order to develop the necessary skills to be able to process through their responses to trauma. Their goals include reducing their symptoms and learning how to manage their symptoms more effectively. They learn that each step on the journey builds endurance that increases our strength and resilience so that they build our capacity to persist.
(513) 434-6493 View (513) 434-6493
Photo of Sally C Von Lehman, Counselor, MEd, MA, LPCC
Sally C Von Lehman
Counselor, MEd, MA, LPCC
Cincinnati, OH 45243
Pain and, often, trauma are a normal part of our humanity. Unless there is healing, the pain and/or trauma leave wounds that accompany us throughout our lives. It is my belief and experience these wounds can be healed. I’ve encountered personal healing and have had the privilege of facilitating the healing of others. As wounds heal, our true Self is able to expand, grow and awaken into its true nature, allowing us to live happier, freer and more peaceful.
Pain and, often, trauma are a normal part of our humanity. Unless there is healing, the pain and/or trauma leave wounds that accompany us throughout our lives. It is my belief and experience these wounds can be healed. I’ve encountered personal healing and have had the privilege of facilitating the healing of others. As wounds heal, our true Self is able to expand, grow and awaken into its true nature, allowing us to live happier, freer and more peaceful.
(513) 224-5340 View (513) 224-5340
Photo of Andrea Matzye, Clinical Social Work/Therapist, LISW
Andrea Matzye
Clinical Social Work/Therapist, LISW
Online Only
Hi! I'm Andrea. I am a Licensed Independent Social Worker (LISW-S) and Licensed Independent Chemical Dependency Counselor (LICDC) based in Ohio. I am licensed to treat both mental health and substance use disorders. Additionally, I am an EMDR Trained Therapist. I have been working with substance use disorders for over eight years and mental health for six years. My passion is helping others identifying their ideal life and the necessary steps to get there.
Hi! I'm Andrea. I am a Licensed Independent Social Worker (LISW-S) and Licensed Independent Chemical Dependency Counselor (LICDC) based in Ohio. I am licensed to treat both mental health and substance use disorders. Additionally, I am an EMDR Trained Therapist. I have been working with substance use disorders for over eight years and mental health for six years. My passion is helping others identifying their ideal life and the necessary steps to get there.
(513) 957-4664 View (513) 957-4664
Photo of Dr. Susannah Coaston, Licensed Professional Clinical Counselor, EdD, LPCC-S, CWC
Dr. Susannah Coaston
Licensed Professional Clinical Counselor, EdD, LPCC-S, CWC
4 Endorsed
Cincinnati, OH 45227
Do you struggle to live up to expectations – yours or others’? Do concerns you’d normally handle without much trouble now have you feeling like you’re in over your head? Have you lost touch with your sense of self, and found you have no idea what you want out of life anymore? Such experiences can be discouraging and exhausting, but you don’t have to navigate them on your own. I would like to help you reconnect to the person you want to be. I can’t promise to eliminate your stress, but I can help you tap into your inner strength, quiet your self-critical voice, and return to living life on your terms.
Do you struggle to live up to expectations – yours or others’? Do concerns you’d normally handle without much trouble now have you feeling like you’re in over your head? Have you lost touch with your sense of self, and found you have no idea what you want out of life anymore? Such experiences can be discouraging and exhausting, but you don’t have to navigate them on your own. I would like to help you reconnect to the person you want to be. I can’t promise to eliminate your stress, but I can help you tap into your inner strength, quiet your self-critical voice, and return to living life on your terms.
(513) 654-2551 View (513) 654-2551
Photo of Paige Ballengee, Licensed Professional Clinical Counselor, Owner, LPCC-S, LICDC
Paige Ballengee
Licensed Professional Clinical Counselor, Owner, LPCC-S, LICDC
Cincinnati, OH 45208
People possess an astonishing and incredible natural capacity to heal themselves both mentally and physically. But, many are not able to find their path through life's complex and sometimes painful questions. Therapy can be the catalyst for healing by peeling back the layers to find your innate, intuitive wisdom about yourself. My role as your therapist is to be your champion- to accept you and unconditionally support you, no matter what you are facing or experiencing.
People possess an astonishing and incredible natural capacity to heal themselves both mentally and physically. But, many are not able to find their path through life's complex and sometimes painful questions. Therapy can be the catalyst for healing by peeling back the layers to find your innate, intuitive wisdom about yourself. My role as your therapist is to be your champion- to accept you and unconditionally support you, no matter what you are facing or experiencing.
(513) 409-9505 View (513) 409-9505
Photo of Nikki Winchester - Cincinnati Center for DBT, PsyD, ABPP, DBT-LBC
Cincinnati Center for DBT
Verified Verified
1 Endorsed
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 613-3826 View (513) 613-3826
Photo of Emma Schmidt, Counselor, MA, LPCC-S, CST, CCSAS
Emma Schmidt
Counselor, MA, LPCC-S, CST, CCSAS
3 Endorsed
Cincinnati, OH 45208
Emma Schmidt & Associates, Sex + Relationship Therapy restores relationships for individuals and couples who are facing a big challenge-maybe they're even at the end of their rope, struggling with their sex life. We understand that sex and relationship issues can be embarrassing and awkward, but we remove the shame and stigma from the situation and create an environment of openness and positivity. Our clients are seeking a stronger bond with their partners; we invite them to share their struggles and worries-and to come as they are.
Emma Schmidt & Associates, Sex + Relationship Therapy restores relationships for individuals and couples who are facing a big challenge-maybe they're even at the end of their rope, struggling with their sex life. We understand that sex and relationship issues can be embarrassing and awkward, but we remove the shame and stigma from the situation and create an environment of openness and positivity. Our clients are seeking a stronger bond with their partners; we invite them to share their struggles and worries-and to come as they are.
(513) 718-4441 View (513) 718-4441
Photo of Theresa Feezle, Clinical Social Work/Therapist
Theresa Feezle
Clinical Social Work/Therapist
Online Only
It can be difficult to know if we are making the choices to live the life that we want for ourselves. Many people are questioning themselves and how they fit in the world. There's a point when we need to take inventory and review ourselves and our goals. Therapy can be a great tool to evaluate, recalculate and develop plans to reach your goals and the life that you want for yourself. I believe in meeting you where you are and starting your journey from there. I see my role as utilizing my experience and knowledge to help empower you as you make your way from where you are to where you want to be.
It can be difficult to know if we are making the choices to live the life that we want for ourselves. Many people are questioning themselves and how they fit in the world. There's a point when we need to take inventory and review ourselves and our goals. Therapy can be a great tool to evaluate, recalculate and develop plans to reach your goals and the life that you want for yourself. I believe in meeting you where you are and starting your journey from there. I see my role as utilizing my experience and knowledge to help empower you as you make your way from where you are to where you want to be.
(419) 933-9430 View (419) 933-9430
Photo of Chelsea M Stephens, Clinical Social Work/Therapist, MSW, LSW
Chelsea M Stephens
Clinical Social Work/Therapist, MSW, LSW
1 Endorsed
Online Only
My goal is to help you be the person you want and deserve to be. My ideal client will want to improve themselves and have an understanding that we are all works in progress with areas for improvement. I see myself as a guide who will help and support you on your journey of recovery, self-discovery and self-improvement. We can address unhealthy behaviors, toxic relationships, trauma and difficult life circumstances. I offer reduced rate fees for those who are uninsured or those who are experiencing financial difficulty.
My goal is to help you be the person you want and deserve to be. My ideal client will want to improve themselves and have an understanding that we are all works in progress with areas for improvement. I see myself as a guide who will help and support you on your journey of recovery, self-discovery and self-improvement. We can address unhealthy behaviors, toxic relationships, trauma and difficult life circumstances. I offer reduced rate fees for those who are uninsured or those who are experiencing financial difficulty.
(513) 540-1574 View (513) 540-1574
Photo of LeeAnn Eakins, Clinical Social Work/Therapist, MSW, LISW-S
LeeAnn Eakins
Clinical Social Work/Therapist, MSW, LISW-S
Cincinnati, OH 45230
Sometimes life is hard. Do you find yourself struggling to find your way? Maybe trauma, depression, anxiety, a major mental illness or a substance use disorder is standing in your way to a comfortable, successful life. As Rumi reminds us "When you start to walk on the way, the way appears". I am here to empower you to do just that; discover your strengths and your way to creating or recapturing the healthy life you deserve. I offer 3 services including psychotherapy for your healing needs, life coaching for meeting your goals and a Trauma Informed Martial Arts (TIMA) class to help you regain your personal power.
Sometimes life is hard. Do you find yourself struggling to find your way? Maybe trauma, depression, anxiety, a major mental illness or a substance use disorder is standing in your way to a comfortable, successful life. As Rumi reminds us "When you start to walk on the way, the way appears". I am here to empower you to do just that; discover your strengths and your way to creating or recapturing the healthy life you deserve. I offer 3 services including psychotherapy for your healing needs, life coaching for meeting your goals and a Trauma Informed Martial Arts (TIMA) class to help you regain your personal power.
(513) 880-1976 View (513) 880-1976
Photo of Doris Rhodes, Counselor
Doris Rhodes
Counselor
Online Only
Many individuals have concerns with depression, grief, and anxiety. These may become overwhelming at times, even hard to deal with. However, they need not be. Don't allow these feelings to become obstacles on your journey to a more fulfilling life. Instead, transform them into stepping stones to your happiness and freedom.
Many individuals have concerns with depression, grief, and anxiety. These may become overwhelming at times, even hard to deal with. However, they need not be. Don't allow these feelings to become obstacles on your journey to a more fulfilling life. Instead, transform them into stepping stones to your happiness and freedom.
(513) 949-4126 View (513) 949-4126
Photo of Tony Fryer, Marriage & Family Therapist, IMFT, FTAI, EAP
Tony Fryer
Marriage & Family Therapist, IMFT, FTAI, EAP
Cincinnati, OH 45202
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals.Homeworks are given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site, www.tonyfryer.com, is very informative and contains a link to my Blog. This will help you get to know me more!
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals.Homeworks are given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site, www.tonyfryer.com, is very informative and contains a link to my Blog. This will help you get to know me more!
(513) 436-0525 View (513) 436-0525
Photo of Kimberly Hayes (Haskins), Clinical Social Work/Therapist, MSSW, LCSW
Kimberly Hayes (Haskins)
Clinical Social Work/Therapist, MSSW, LCSW
Online Only
Kimberly completed her Master’s Degree in Social Work at the University of Louisville. She has over 15 years of clinical experience across a variety of settings including outpatient specialty clinics, crisis intervention, structured outpatient programs, inpatient psychiatric facilities, large non-profits, and private practice.
Kimberly completed her Master’s Degree in Social Work at the University of Louisville. She has over 15 years of clinical experience across a variety of settings including outpatient specialty clinics, crisis intervention, structured outpatient programs, inpatient psychiatric facilities, large non-profits, and private practice.
(513) 654-9769 View (513) 654-9769
Photo of Eric J. Hollie - Speak Life Counseling & Life Coaching Services, Clinical Social Work/Therapist, MSW, LISW-S
Speak Life Counseling & Life Coaching Services
Clinical Social Work/Therapist, MSW, LISW-S
3 Endorsed
Cincinnati, OH 45246
We work with clients who are managing a variety of psychological, emotional, mental health, family, relationship and spiritual challenges and struggles, providing assistance in learning how to best manage those struggles. We enjoy working with individuals, couples and families. In Mr. Hollie's role as a pastor, he also provides faith-based therapy, helping clients understand that, "You can be saved AND have a therapist!" Additionally, Sonia is a Certified Life Coach, and offers telehealth life coaching services aimed at uncovering one's full potential and providing them with the tools to operate in their purpose. Contact us today!
We work with clients who are managing a variety of psychological, emotional, mental health, family, relationship and spiritual challenges and struggles, providing assistance in learning how to best manage those struggles. We enjoy working with individuals, couples and families. In Mr. Hollie's role as a pastor, he also provides faith-based therapy, helping clients understand that, "You can be saved AND have a therapist!" Additionally, Sonia is a Certified Life Coach, and offers telehealth life coaching services aimed at uncovering one's full potential and providing them with the tools to operate in their purpose. Contact us today!
(513) 993-1199 View (513) 993-1199
Photo of Brittany Lauer, Clinical Social Work/Therapist, LISW-S
Brittany Lauer
Clinical Social Work/Therapist, LISW-S
Cincinnati, OH 45230
I support individuals experiencing anxiety symptoms better understand their inner world and navigate their emotions with confidence. Whether you're dealing with physical discomfort or overwhelming feelings, I am here to help. My goal is to empower clients to take control of their lives, actively shaping their experiences rather than feeling like life is happening to them.
I support individuals experiencing anxiety symptoms better understand their inner world and navigate their emotions with confidence. Whether you're dealing with physical discomfort or overwhelming feelings, I am here to help. My goal is to empower clients to take control of their lives, actively shaping their experiences rather than feeling like life is happening to them.
(513) 845-3355 View (513) 845-3355
Photo of Cherrie Blevins, Licensed Professional Counselor, LPC
Cherrie Blevins
Licensed Professional Counselor, LPC
Cincinnati, OH 45255
I believe we all bring something unique to each other’s lives, intertwining in ways we may not always fully understand. Through personal trials, I have observed how individuals handle life events based on what they see fit and learned from their environment. Whether it be grief, trauma, relational, anxiety or depression, I have been there. I see you & I hear you, and this is the starting point for your skill building for your personal needs. Stress arises any time and meeting you where you are is essential for your growth and healing, as well as making meaningful changes for your life. Together we will take the steps for healing.
I believe we all bring something unique to each other’s lives, intertwining in ways we may not always fully understand. Through personal trials, I have observed how individuals handle life events based on what they see fit and learned from their environment. Whether it be grief, trauma, relational, anxiety or depression, I have been there. I see you & I hear you, and this is the starting point for your skill building for your personal needs. Stress arises any time and meeting you where you are is essential for your growth and healing, as well as making meaningful changes for your life. Together we will take the steps for healing.
(513) 647-6746 View (513) 647-6746
Photo of Margaret Josephson Rinck, Psychologist, EdD
Margaret Josephson Rinck
Psychologist, EdD
Cincinnati, OH 45208
Margaret Josephson Rinck, Ed.D. specializes in helping people with depression, anxiety, addiction, abuse and codependency. In 2009 she was honored with the "Be The Scream" award, given by Connections: A Safe Place, in recognition of her lifetime work with childhood sexual abuse victims. A graduate of the University of Cincinnati, Gordon Conwell Theological Seminary, and Gordon College, Dr. Rinck is an author, psychologist, and a retired college professor. One of her new offerings is "Intensives" which are 2-3 day treatment programs, for those who need deeper treatment in a short time.
Margaret Josephson Rinck, Ed.D. specializes in helping people with depression, anxiety, addiction, abuse and codependency. In 2009 she was honored with the "Be The Scream" award, given by Connections: A Safe Place, in recognition of her lifetime work with childhood sexual abuse victims. A graduate of the University of Cincinnati, Gordon Conwell Theological Seminary, and Gordon College, Dr. Rinck is an author, psychologist, and a retired college professor. One of her new offerings is "Intensives" which are 2-3 day treatment programs, for those who need deeper treatment in a short time.
(513) 823-9040 View (513) 823-9040
Photo of Christina Coletta, Clinical Social Work/Therapist, MSW, LSW
Christina Coletta
Clinical Social Work/Therapist, MSW, LSW
1 Endorsed
Cincinnati, OH 45242
As a trauma-informed therapist, I am committed to creating a safe and supportive space where healing and growth can flourish. I work with individuals and couples, helping them navigate trauma, anxiety, depression, life transitions, and relationship challenges. My person-centered, direct yet compassionate approach is integrated with Cognitive Behavioral Therapy (CBT), Internal Family Systems, and somatic techniques to support your journey toward self-discovery and well-being. I understand that every person’s story is unique, and I tailor my methods to meet your specific needs and goals.
As a trauma-informed therapist, I am committed to creating a safe and supportive space where healing and growth can flourish. I work with individuals and couples, helping them navigate trauma, anxiety, depression, life transitions, and relationship challenges. My person-centered, direct yet compassionate approach is integrated with Cognitive Behavioral Therapy (CBT), Internal Family Systems, and somatic techniques to support your journey toward self-discovery and well-being. I understand that every person’s story is unique, and I tailor my methods to meet your specific needs and goals.
(513) 540-4121 View (513) 540-4121
Photo of Eleanor Raker, Licensed Professional Clinical Counselor, LPC
Eleanor Raker
Licensed Professional Clinical Counselor, LPC
Cincinnati, OH 45219
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
Are you hurting so much that you're wondering if living is really worth all this pain? It hurts so bad that it feels physical; you can feel it in your gut. You don't let those closest to you know what's going on because no one gets it; no one can help. Sometimes you feel completely out of place, like you don't belong here. Everything hurts so much and you can't stand it anymore. You keep looking for ways to take it all away. You don't deserve to hurt like this anymore. And you don't have to. It's time to take control of your emotions so your emotions stop controlling you.
(513) 450-6877 View (513) 450-6877
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How does your Therapist compare?

Number of Therapists in Cincinnati, OH

1,000+

Average cost per session

$125

Therapists in Cincinnati, OH who prioritize treating:

93% Anxiety
88% Depression
71% Trauma and PTSD
66% Stress
62% Self Esteem
61% Relationship Issues
60% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
73% Cigna and Evernorth
73% UnitedHealthcare UHC | UBH

How Therapists in Cincinnati, OH see their clients

52% Online Only
48% In Person and Online

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cincinnati?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.